42D2006444 CLIA NUMBER - TRINITY BEHAVIORAL CARE-MARION OFFICE

Laboratory Demographics

  • CLIA Code: 42D2006444
  • Facility Name: TRINITY BEHAVIORAL CARE-MARION OFFICE
  • Facility Address: 424 GUYTON COURT
    MULLINS, SC
    ZIP 29574
  • Facility Phone: 843 423-8292
  • Facility Type: Other - BEHAVIORAL CARE
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. BROCK JR
  • NPI Number: 1821473364
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 42D2006444
LAB Type Other - BEHAVIORAL CARE
Facility Name TRINITY BEHAVIORAL CARE-MARION OFFICE
Street 424 GUYTON COURT
City MULLINS
State SC
ZIP 29574
Phone 843 423-8292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Other - BEHAVIORAL CARE
Lab Director WILLIAM D. BROCK JR

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This page was last updated on: 9/29/2025